Home & Away Care Providers LLC

NPI #1992464093 in Bristow, Virginia

Provider Information

NPI Number: 1992464093
Entity Type: Organization
Organization Name: Home & Away Care Providers LLC
Primary Specialty: Home Health
Enumeration Date: Dec 16, 2021
Last Updated: Dec 16, 2021

Practice Location

Address: 9383 FALLING WATER DR
City: Bristow
State: Virginia
ZIP Code: 20136-2189
Phone: (571) 450-1333

Authorized Official

Name: MRS. FREDA FRIMPONG FERGUSON
Title: DEPUTY ADMINISTRATOR
Phone: (571) 450-1333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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